Thank you for your interest in teaching a culinary course! Please fill out all information in as much detail as possible.
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Contact Information
Name and Info

* First Name:

* Last Name:

* Primary Phone Number:

* Contact Email:

Address

* Address 1:

* Address 2:

* City:

* State:

* Zip

Personal Information

* Instructor Biography:

* Headshot:

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* Instructor Website:

* Social Media Contact(s):

Course Content
General Course Info

* Course Title:

* Proposed Course Dates:

* Proposed Class Times:

* Day(s) of the Week Taught:

* Course Description:

Please share any personal photos of the dishes you propose to prepare if you have them.

* Culinary Photo #1:

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* Culinary Photo #2:

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* Culinary Photo #3:

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* Marketing Audience Suggestions:

* If so, please type name:

Course Set-Up Information

* Minimum # of Students:

* Maximum # of Students:

* A/V Request(s):

* If Other, Please Specify:

* Suggested Course Registration Fee:

* Instructor Fee including expenses:

Supplies and Materials
The instructor will provide all supplies and materials. The cost of materials and supplies should be included in instructor's fee.
References

* Please provide the name, email and phone number of at least 3 professional references who would recommend you as an instructor for this course.

* Instructor's Initials:

* Today's Date:

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